کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4049625 1264842 2010 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Une luxation bilatérale postérieure des épaules sur ostéonécrose des têtes humérales
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی ارتوپدی، پزشکی ورزشی و توانبخشی
پیش نمایش صفحه اول مقاله
Une luxation bilatérale postérieure des épaules sur ostéonécrose des têtes humérales
چکیده انگلیسی
We report a case of simultaneous bilateral posterior shoulders dislocations in a 46-year-old male with antecedent of high-dose corticotherapy. The mechanism was non-traumatic after a contraction of the sub scapularis muscle in internal rotation. The interscapular pain was not initially diagnosed although a tomodensitometry was realized to eliminate a cardiovascular emergency. After reduction, the shoulders were unstable and the MRI showed an osteonecrosis of the humeral heads. The patient underwent surgery with an iliac spongy bone graft in the humeral nick. At 3 months, there was no recurrence and mobilities were good. Bilateral posterior shoulders dislocations are unusual and it is the first case of non-traumatic dislocation. Aetiology are often epilepsy, electrocution, and extreme traumatism. Diagnosis is often misrecognized and the treatment is not well codified.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Chirurgie de la Main - Volume 29, Issue 1, February 2010, Pages 48-51
نویسندگان
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